Order Form

Sizes:
____ Regular (Adult or Chupa)
5 1/2 ft 51' x 70' (130cm x 180cm)
x $150.00 = $ ______
____ Youth (Bar/Bat Mitzva)
5 ft 36' x 67' (90cm x 170cm)
x $140.00 = $ ______
____ Shawl Style
5 1/2 ft 19' x 70' (50cm x 180cm)
x $130.00 = $ ______
Extra:
    Tefillin Bag ____     Kippa ____ (Please check one)
Color of stripes:
Classic Blue _______ Black _______ Brown _______
Burgundy _______ Green _______ Red _______
Shipping and Handling:
Post Office (EMS)= $30.00 (USA)
                              Free (Israel)
Fedex = $45.00 (USA)
            $10.00 (Israel)
$ ___________
TOTAL: $_______________

First Name ________________ Last Name________________________
Address ___________________________________________________
City _________ State _________ Zip ________ Country _____________
Telephone _____ - ________ E-mail address _______________________

Payment method:
Credit Card: 
Master Card __  Visa __ American Express __
Number _________    Exp ___ / ___
Signature _____________________
Check Amount   $ _______ (Enclosed)

Please send this form by mail or fax to:
Mr. Benny Anderman
Mitzpe Nevo 31-1
Maale Adumim 98410
ISRAEL
Tel: + 972 2 535 4204
Fax.: + 972 2 535 4204
Mobile: + 972 52 673 583
E-mail: Sales@taarig.com - Thank you for your business.